Healthcare Provider Details

I. General information

NPI: 1780508473
Provider Name (Legal Business Name): GRANT FRISBEE
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/06/2026
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6026 SIX FORKS RD
RALEIGH NC
27609-3899
US

IV. Provider business mailing address

7313 BRYN ATHYN WAY APT 135
RALEIGH NC
27615-6174
US

V. Phone/Fax

Practice location:
  • Phone: 919-861-1600
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberA23348
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: